An Analysis of Different Modalities of Surgical Management of Giant Cell Tumor of Distal Radius

ABSTRACT

The distal end of the radius is one of the common sites of involvement in giant cell tumors (GCTs) with increased chance of recurrence. The objective of the present analysis was to study the modalities of management of the different types of distal end radius GCTs so as to reduce the recurrence rates and retain adequate function. Methods: A prospective study of 24 patients of GCT of distal end of radius treated by various procedures in our institute and followed upto 24 months to analyse complications and functional outcome based on The Musculo Skeletal Tumour Society Score. Results: In our series of 24 patients of GCT distal radius, 7 cases treated with curettage and bone graft 4cases were presented with recurrence, 1 with stiffness, and 2 with superficial infection. Out of14 cases treated with Wide Resection and reconstruction with nonvascularized proximal fibula 4 cases appeared with recurrence,2 showed non-union and 1 delayed union , 3 with wrist deformity,7with stiffness, 4 with carpal subluxation & 2 with donor site morbidity. In 3 patients treated with centralisation of ulna 2 case presented recurrence. Conclusion: A careful clinical and radiological assessment of distal radius GCT and judicious treatment plan is the key for successful outcome.